Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and PancreasHarley, George
Science
Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and Pancreas
Harley, George
Jaundice
unsuitable that could possibly be devised. In administering bile
immediately after food, as is usually done, we most effectually produce
the contrary result to what is intended. When bile mingles with gastric
juice, it destroys the digestive power of the latter, so that by giving
the bile immediately or soon after a meal, we really diminish instead
of increase the digestive functions. My experiments, both chemical, and
physiological, have led me to propose not only a new method of
preparing bile for medicinal purposes, but also to suggest an entirely
new mode of administering it.
Firstly,--As regards the method of preparation. Nothing can be more
simple, and at the same time more effectual. Fresh bile, taken directly
from the gall-bladder of the newly killed pig, is filtered, through
very porous filter-paper, to free it from mucus; it is then as rapidly
as possible evaporated to dryness at a temperature not exceeding 160°
Fahr. The bile, as soon as dried, is ready for use. Simple as this
operation appears in theory, there are two practical difficulties
connected with it--1st, Bile filters very slowly, and consequently
little must be put into the filter at a time. 2nd, Bile is rather
hygroscopic, and consequently, in order to get it dried quickly, it is
necessary {129} to spread it over a large surface. If the bile has been
well prepared, that is to say, thoroughly freed by filtration from its
ferment mucus, and well dried, it will keep in stoppered bottles for
many months without losing any of its active properties.
Having stated that bile as at present employed more frequently does
harm than good, by retarding instead of hastening the digestive
process, I have now to point out the manner in which it may be given
with advantage.
If bile be administered, as I propose, at the _end_ of stomachal
digestion, it will, as in the healthy organism, act on the chyme at the
proper moment, and thereby render it fit for absorption. In order still
further to ensure the action of the bile being delayed until the food
is in a condition favourable to its action, that is to say, until it is
ready to pass from the stomach into the duodenum, I have had the bile,
as above prepared, put into capsules,[31] which are not readily acted
on by the gastric juice. While in the stomach, the capsules, however,
swell up from the size of a pea to that of a small gooseberry, and at
the same time become so soft that they will readily burst in passing
the pylorus into the duodenum, and thereby allow {130} the bile to
escape, and come in contact with the food at the precise moment its
action becomes requisite in the digestive process.[32] The capsules not
only preserve the active properties of the bile for an almost
indefinite period, but they have the advantage of most effectually
preventing the patient tasting the remedy.
Public-domain text, read in full here on John Shaqi.
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